Connect
Possible coinfection by microplasm treat w/Doxycycline
Been feeling like I’m losing ground with my Mac infection and Bronchiectasis. Decided to go to infectious disease doc to see if he could help explain things to me. One of his thoughts was that I might have Possible coinfection by microplasm Which he wants to treat w/Doxycycline. Like right away. Said after a week that would be great news if I felt better. Said this antibiotic does not interfere with possible need to treat the Mac later… He’s asking for three Sputum samples during this month spaced out a week apart. He might jump the gun on waiting a whole year for my next CT scan, depending on all of this… (Not supposed to see another scan until April). And on top of this I have for the first time, low blood pressure reported at this appointment. I guess I’m writing today in the hopes of anyone expressing opinions or experiences with this doxycycline usage as well as low blood pressure. Such a confluence of symptoms/disease problems!
Like
Helpful
HugInterested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.
Connect
Instead of "thinking" you might have a possible co-infection by something else I hope he will do a sputum culture first to see what the infection may be. Giving antibiotics without testing for what bug and what antibiotic it would best respond to is not advisable, especially if you may be treated for MAC in the future. This is how antibiotic resistance has grown. Being an ID doc I would assume he is well aware of this - but we all know where assuming gets us.
-
Like -
Helpful -
Hug
1 Reaction@dispatchpat Did he give any indication why he was thinking mycoplasma (pneumonia)? Like lung congestion or ground glass appearance on an x-ray? If so, in someone with suspected MAC, doxycycline is the drug of choice.
Like @cwal, I would prefer a culture first, but with bronchiectasis we are susceptible to it with any kind of respiratory flare. And he may have good reason to suspect and treat it. As a matter of fact, my pulmonologist has given me an open Rx for doxy, to be used if I have a flare that seems to be deteriorating into a lung infection. My instructions are to fill the Rx and start taking it while waiting for a consult (either in person or virtual) with her. And further, "Don't go to Urgent Care and let them give you azithromycin."
-
Like -
Helpful -
Hug
1 ReactionMy Id dr did just this. I’m hesitant to take it.
Your ID doc did just what? Need more clarification please.
Thank you. Well, as is obvious, confusion bounds, and not enough information on my part so your insight was motivational. I went to my chart and started asking my pulmonologist questions and she pulled me in for a chest x-ray and threw in a mini lung capacity test as well. No sign of pneumonia, and reversed doxycycline recommendation.
It looks like I’ll be adding an albuterol/nebulization session to my Airway clearance practices. Let’s see if that helps! Again, thanks for insight. Really appreciate it.
I'm searching for any information on the possibility of a pet cat having a mycoplasma infection passing it to me as a human? I ended up being sent to the E.R. for what was diagnosed a mucopurulent bronchitis . Even though I mentioned that my cat had the mycoplasma infection, I was not tested for that. Four months later I had a bacterial sinus infection treated with antibiotics that I still seem to have six months after treatment. I have mild bronchiectasis, chronic bronchitis, atelectasis and intermittent asthma.
Why no azithromycin??
That's our "big gun" and we need to reserve it for MAC infections. If used when you have (undiagnosed) MAC it could make your bacteria resistant , to it so it doesn't work when you really need it.
I’m sorry i don’t think my reply of no azithromycin was meant for that post. My Mac is resistant to azithromycin
I am wondering if anyone is using arikace